Stine Steen Høgenhaug, Marie Skaalum Bloch, Stefan Lock Jensen, Anne Vingaard Olesen, Gry Kjærsdam Telléus
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Additionally, the Deliberate Self-Harm Inventory, the Affect Integration Inventory, the Inventory of Interpersonal Problems, the Hopkins Symptom Checklist, and the WHO’s Quality of Life questionnaire were measured every third month during a 2-year treatment period to examine trajectories of change across time.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Results revealed significant improvements on all measured parameters including a reduction in the patient’s number of bed days (from 166 to 0), hospitalizations (from 4 to 0), coercion episodes (from 22 to 0), and suicide attempts (from 2 to 0). Furthermore, measures during the treatment period showed reduced self-harm, decreased symptomatology, increased affect integration, better interpersonal functionality, and improved everyday functioning. 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引用次数: 0
摘要
基于精神化的治疗（MBT）被认为是治疗边缘型人格障碍（BPD）和严重自我伤害患者的一种很有前途的方法。尽管关于自我伤害患者的MBT研究结果令人信服，但一项荟萃分析显示结果不一，需要进一步研究和制定治疗方案（Gross et al., 2024）。目的本研究的目的是描述一个附加的AMBIT干预成人患者遭受严重的自我伤害。为了证明附加的AMBIT的潜力，一项描述性纵向研究设计得到了促进，并以一个25岁左右患有BPD和严重自残的女性为例进行了说明。材料与方法采用多种数据来源，显示患者进入治疗前一年、治疗期间和治疗后一年的纵向发展情况，包括住院天数、强迫发作次数和自杀企图。此外，在两年的治疗期间，每三个月测量一次故意自残量表、情感整合量表、人际问题量表、霍普金斯症状检查表和世界卫生组织生活质量问卷，以检查随时间变化的轨迹。结果结果显示，所有测量参数都有显著改善，包括患者的住院天数（从166天减少到0天）、住院次数（从4次减少到0次）、强迫发作（从22次减少到0次）和自杀企图（从2次减少到0次）。此外，治疗期间的测量显示，自我伤害减少，症状减少，情感整合增加，人际功能更好，日常功能改善。治疗后1年的测量显示效果持久。讨论了附加AMBIT干预的潜力，包括局限性和未来的研究建议。
Mentalising severe self-harm: A longitudinal single case study of an add-on AMBIT program
Background
Mentalization-based treatment (MBT) has been proposed as a promising approach when treating patients suffering from borderline personality disorder (BPD) and severe self-harm. Though study findings on MBT for patients who self-harm are convincing, a meta-analysis showed mixed results, calling for further research and the development of treatment protocols (Gross et al., 2024).
Aim
The aim of this study was to describe an add-on AMBIT intervention for adult patients suffering from severe self-harm. To demonstrate the add-on AMBIT’s potential, a descriptive longitudinal study design was facilitated and illustrated with a single case of a woman in her mid-twenties suffering from BPD and severe self-harm.
Materials and Methods
Multiple data sources were applied to show the longitudinal development of the patient one year before entering treatment, during treatment, and one year after treatment including calculation of number of hospitalized bed days, coercion episodes, and suicide attempts. Additionally, the Deliberate Self-Harm Inventory, the Affect Integration Inventory, the Inventory of Interpersonal Problems, the Hopkins Symptom Checklist, and the WHO’s Quality of Life questionnaire were measured every third month during a 2-year treatment period to examine trajectories of change across time.
Results
Results revealed significant improvements on all measured parameters including a reduction in the patient’s number of bed days (from 166 to 0), hospitalizations (from 4 to 0), coercion episodes (from 22 to 0), and suicide attempts (from 2 to 0). Furthermore, measures during the treatment period showed reduced self-harm, decreased symptomatology, increased affect integration, better interpersonal functionality, and improved everyday functioning. Measures 1 year after treatment suggested lasting effects.
Discussion
The potential of the add-on AMBIT intervention is discussed, including limitations and future research recommendations.
期刊介绍：
Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.
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